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Individual

DR. PAUL S KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
566 TOLL GATE RD, WARWICK, RI 02886-2716
(401) 738-4800
(401) 738-0174
Mailing address
175 PARAMOUNT DR, SUITE 203, RAYNHAM, MA 02767-1065
(774) 320-3040
(508) 910-2204

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
038372
CT
207W00000X
Ophthalmology Physician
Primary
MD5359
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7000254
RI
Enumeration date
04/21/2006
Last updated
05/04/2017
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